Goldhahn W E
Zentralbl Chir. 1979;104(15):989-93.
Intractable pain is an important indication for stereotactic operations in deep structures of the brain. The targets are situated in primary and secondary sensomotoric regions of the thalamus, dependent or independent on cortical areas. In clinical practice it is necessary to combine two or three targets in the thalamic nuclei. In more than 25% the destruction of parts of the emotional pain-perception is necessary (ncl. dorso-medialis). The results os stereotactic operations in 32 patients with causalgia and phantom-limb-neuralgia are analysed.
顽固性疼痛是大脑深部结构立体定向手术的重要指征。靶点位于丘脑的初级和次级感觉运动区,取决于或独立于皮质区域。在临床实践中,有必要在丘脑核中联合两个或三个靶点。超过25%的病例需要破坏部分情感性疼痛感知区域(背内侧核)。对32例灼痛和幻肢神经痛患者的立体定向手术结果进行了分析。